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Individual

MARY CATHLEEN FARNSWORTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP

Contact information

Practice address
340 NW 5TH ST STE 101, REDMOND, OR 97756-1869
(541) 526-6635
(541) 526-6636
Mailing address
431 NW FRANKLIN AVE STE 200, BEND, OR 97703-2827
(541) 229-1321
(541) 389-8115

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
20115009NP
OR
367A00000X
Advanced Practice Midwife
201150090NP
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500638416
OR
01
R161401
MEDICARE PTAN
OR
Enumeration date
08/12/2011
Last updated
04/07/2026
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